Type 2 diabetes mellitus with foot ulcer. E11.621 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM E11.621 became effective on October 1, 2018.
How Diabetic Foot Ulcers Start (and How to Prevent Them)
Treatment options for all ulcers may include:
Treatment
ICD-10-CM Code for Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity L97. 509.
ICD-10 Code for Non-pressure chronic ulcer of other part of right foot with unspecified severity- L97. 519- Codify by AAPC.
621, E13. 622).” Of these options, the most commonly used codes for diabetic foot ulcer are E10. 621 (Type 1 diabetes mellitus with foot ulcer) and E11. 621 (Type 2 diabetes mellitus with foot ulcer).
ICD-10 code E11. 621 for Type 2 diabetes mellitus with foot ulcer is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
Of these options, the most commonly used codes for diabetic foot ulcers are E10. 621 (Type 1 diabetes mellitus with foot ulcer) and E11. 621 (Type 2 diabetes mellitus with foot ulcer).
ICD-10-CM Code for Non-pressure chronic ulcer of other part of left foot with unspecified severity L97. 529.
Type 2 diabetes mellitus with other skin ulcer The 2022 edition of ICD-10-CM E11. 622 became effective on October 1, 2021.
Diabetic foot infection, defined as soft tissue or bone infection below the malleoli, is the most common complication of diabetes mellitus leading to hospitalization and the most frequent cause of nontraumatic lower extremity amputation.
Diabetic ulcers may look similar to pressure ulcers; however, it is important to note that they are not the same thing. As the name may imply, diabetic ulcers arise on individuals who have diabetes, and the foot is one of the most common areas affected by these skin sores.
529: Non-pressure chronic ulcer of other part of left foot with unspecified severity.
A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes, and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication.
Foot ulcers are open sores or lesions that will not heal or that return over a long period of time. These sores result from the breakdown of the skin and tissues of the feet and ankles and can get infected. Symptoms of foot ulcers can include swelling, burning, and pain.
Regarded as the most common reason for hospital stays among people with diabetes, a diabetic foot ulcer (DFU) is an open sore caused by neuropathic (nerve) and vascular (blood vessel) complications of the disease. Typically located on the plantar surface, or bottom/top of toes, pad of foot, or heel of foot, these complex, ...
L97.91 -Non-pressure chronic ulcer of unspecified part of right lower leg. L97.92 – Non-pressure chronic ulcer of unspecified part of left lower leg. According to the American Podiatric Medical Association, about 14 to 24 percent of Americans with diabetic foot ulcers have amputations.
The most common risk factors for ulcer formation include – diabetic neuropathy, structural foot deformity, kidney disease, obesity and peripheral arterial occlusive disease. The condition can be effectively prevented if the underlying conditions causing it are diagnosed early and treated correctly.
Half shoes, therapeutic shoes, custom insoles, and the use of felted foam are other alternative methods to off-load wounds located on the forefoot. Dressings– Wounds and ulcers heal faster and have a lower risk of infection if they are kept covered and moist, using dressings and topically-applied medications.
According to the American Podiatric Medical Association (APMA), approximately 15 percent of people with diabetes suffer from foot ulcers. Of those who develop a foot ulcer, about 6 percent will be hospitalized due to serious infections or other ulcer-related complications.
Neuropathic ulcers– occur where there is peripheral diabetic neuropathy, but no ischemia caused by peripheral artery disease. This type of foot infection generally occurs on the plantar aspect of the foot under the metatarsal heads or on the plantar aspects of the toes.
Typically located on the plantar surface, or bottom/top of toes, pad of foot, or heel of foot , these complex, chronic wounds can affect people with both Type 1 and Type 2 diabetes. If left untreated, diabetic foot ulcers can have a permanent, long-term impact on the morbidity, mortality and quality of a patients’ life.
Pressure injuries with skin breakdown are considered pressure ulcers. An additional L89 code specifies the stage (depth of tissue injury) and the anatomical site. Pressure ulcers form in sites that experience shear or pressure, typically in tissue overlying bony prominences such as elbows, the sacrum, hips, or heels.
A “diabetic foot ulcer,” which is caused exclusively by hyperglycemia, in the absence of neuropathy or ischemia, is a rarity. That term almost always refers to an ulcer on the foot of a diabetic that derives from neuro/ischemic etiology, as opposed to being strictly and principally due to pressure injury.
The American Podiatric Medical Association adds that “ (diabetic foot) ulcers form due to a combination of factors , such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes .”. They go on to note that “vascular disease can complicate a foot ulcer, ...
Pressure ulcers are deemed patient safety indicators and hospital acquired conditions because a concerted program for prevention and treatment can prevent them and protect our patients from iatrogenic harm. The diagnosis of a “pressure ulcer” may trigger prevalence and incident reporting.
Heel ulcers, however, are usually a consequence of a pressure injury, although it is also possible to have another mechanism cause a non-pressure injury involving the heel. Diabetes may accelerate or complicate the injury. Neuropathy results in malum perforans pedis (a.k.a. bad perforating foot) ulcers.
They go on to note that “vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection.”. In the podiatric literature, NPUAP is often referenced as having given guidance to use “diabetic foot ulcer” for “any ulcer on the foot of a diabetic, even if arterial disease and/or pressure played ...
The General Equivalency Mapping crosswalk indicates an approximate mapping between the ICD-10 code E11.621 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Many people with type 2 diabetes have no symptoms at all. If you do have them, the symptoms develop slowly over several years. They might be so mild that you do not notice them. The symptoms can include
E11.621 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
We identified 61,007 patients with one or more specific or moderately-specific codes for diabetic foot infection in inpatient records. Of these, 42,063 had specific codes that were classifiable into one of our predefined groups.
Statistical data processing was performed using SPSS statistical software version 22.0. The calculation and construction of diagrams reflecting the dynamics of the studied indicators were carried out with the support of Open Office Apache 4. All digital data were processed via variation statistics using Students t-test.
Using ICD-9-CM codes and our classification system, we determined: 1) The proportion of patients who were rehospitalized for any type of foot infection 2) The type of foot infection that was present and, 3) The number of days between admissions.
We have developed a classification of diabetic foot syndrome that can be introduced into the ICD-10 and the ICD-11 under development.